Individual provider Active NPI

Kelly Elizabeth McCabe, LCSW-C

  • Social Worker
  • Columbia, MD
National Provider Identifier
1467005298
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23586 Issued in MD
Practice address
5163 Harpers Farm Rd
Columbia, MD 21044-5710
Phone
(410) 929-7976
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23586 MD Primary

Addresses

Primary practice location

5163 Harpers Farm Rd
Columbia, MD 21044-5710

Mailing address

5163 Harpers Farm Rd
Columbia, MD 21044-5710
Phone (410) 929-7978

Other practice location 1

7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 304-3327

Other names 1

  • Kelly McCabe Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23586MDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1467005298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 HARPERS FARM RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445710",
            "telephone_number": "410-929-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 HARPERS FARM RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445710",
            "telephone_number": "410-929-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 Greenway Center Dr Ste 700B",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703523",
            "country_code": "US",
            "telephone_number": "240-304-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCCABE",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.